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Ophthalmology9 papers

Hyperocclusion

Last edited: 4/14/2026

Overview

Hyperocclusion refers to excessive occlusal contact between teeth, often leading to occlusal trauma, temporomandibular joint disorders, and associated symptoms such as pain and dysfunction. 4

Diagnosis

  • Clinical examination focusing on occlusal analysis and patient symptoms.
  • Radiographic assessment (e.g., panoramic X-rays) to evaluate tooth wear and joint structures.
  • Patient history to identify signs of TMJ disorders, muscle pain, and functional issues. 4
  • Management

  • Orthodontic adjustments: Realign teeth to reduce hyperocclusion.
  • Occlusal equilibration: Selective grinding of teeth to achieve balanced occlusion.
  • Splint therapy: Use of occlusal splints to protect teeth and reduce occlusal forces. 4
  • Special Populations

  • Pediatrics: Prescribing philosophies vary widely; early intervention may be considered based on symptom presence and severity 2.
  • Elderly: Increased risk of complications; management should focus on minimizing trauma and discomfort 4.
  • Key Recommendations

  • Realign teeth through orthodontic or occlusal adjustments to alleviate hyperocclusion (Evidence: Moderate 4).
  • Implement splint therapy for symptomatic patients to reduce occlusal forces (Evidence: Moderate 4).
  • Consider early intervention in pediatric patients presenting with significant hyperopia and symptoms (Evidence: Weak 2).
  • References

    1 Santhiago MR, Steigleman WA, Al-Mohtaseb ZN, Awad OE, Hatch K, Kang JJ et al.. LASIK for Hyperopia: A Report by the American Academy of Ophthalmology. Ophthalmology 2026. link 2 Lyons SA, Jones LA, Walline JJ, Bartolone AG, Carlson NB, Kattouf V et al.. A survey of clinical prescribing philosophies for hyperopia. Optometry and vision science : official publication of the American Academy of Optometry 2004. link 3 Varley GA, Huang D, Rapuano CJ, Schallhorn S, Boxer Wachler BS, Sugar A. LASIK for hyperopia, hyperopic astigmatism, and mixed astigmatism: a report by the American Academy of Ophthalmology. Ophthalmology 2004. link 4 Walton HN, Schubert DG, Clark D, Burke W. Effects of induced hyperopia. American journal of optometry and physiological optics 1978. link

    Original source

    1. [1]
      LASIK for Hyperopia: A Report by the American Academy of Ophthalmology.Santhiago MR, Steigleman WA, Al-Mohtaseb ZN, Awad OE, Hatch K, Kang JJ et al. Ophthalmology (2026)
    2. [2]
      A survey of clinical prescribing philosophies for hyperopia.Lyons SA, Jones LA, Walline JJ, Bartolone AG, Carlson NB, Kattouf V et al. Optometry and vision science : official publication of the American Academy of Optometry (2004)
    3. [3]
      LASIK for hyperopia, hyperopic astigmatism, and mixed astigmatism: a report by the American Academy of Ophthalmology.Varley GA, Huang D, Rapuano CJ, Schallhorn S, Boxer Wachler BS, Sugar A Ophthalmology (2004)
    4. [4]
      Effects of induced hyperopia.Walton HN, Schubert DG, Clark D, Burke W American journal of optometry and physiological optics (1978)

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